| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.51 | $25.19 | $72.98 | |
Cigna
| Professional | $47.91 | $48.85 | $60.19 | |
Medica
| Professional | $25.44 | $48.03 | $205.90 | |
Midlands
| Professional | $34.59 | $52.21 | $58.12 | |
Sanford Health Plan
| Professional | $27.24 | $38.58 | $48.74 | |
United
| Professional | $25.44 | $41.17 | $64.16 | |
Wellmark
| Professional | $45.40 | $47.20 | $55.50 |